• 대한임상독성학회지
• /
• 제13권1호
• /
• pp.1-10
• /
• 2015

Purpose: The purpose of this study was to evaluate the usefulness of intravenous lipid emulsion as well as adverse events in acute poisoning patients. Methods: Literature was accessed through PubMed, EMBASE, Cochrane library, Web of science, and KoreaMed. All forms of literatures relevant to human use of intravenous lipid emulsion for acute poisoning were included. Cases reports or letters without description of clinical outcomes for each case were excluded. The literature search was conducted by two investigators in March, 2015, with publication language restricted to English and Korean. The effect, onset time, and adverse event of lipid emulsion and final outcome of each case were analyzed. Results: Eighty-one published articles were included, excluding articles whose title and abstract were not relevant to this study. No articles were classified as high level of evidence. Sixty-eight case reports were identified, consisting of 25 local anesthetics and 43 other drugs, such as tricyclic antidepressants and calcium channel blockers. Although most cases described significant clinical improvements, some of them showed no beneficial effect or worsening of clinical course. Several adverse events including hyperamylasemia and laboratory interference were reported. Conclusion: Although there were many case reports illustrating successful use of lipid for various drug poisonings, the effect cannot be estimated due to significant possibility of publication bias. Therefore, lipids might be considered in severe hemodynamic instability resulting from lipophilic drug poisoning, however further studies should follow to establish the use of lipid as the standard of care.

• Journal of Nutrition and Health
• /
• 제25권6호
• /
• pp.461-467
• /
• 1992

Total parenteral nutrition(TPN)의 구성성분으로써 지방질 수액제의 사용은 점차 많아지고 있지만 사용량이나 사용대상에 대해서는 아직도 규명해야 할 것이 많다. 본 연구에서는 시판 지방질 수액제들을 사용했을 때 이들이 혈청 지질변화에 어떠한 영향을 미치는가를 비교검토하였다. 각각의 시판 지방질 수액제를 12명의 정상적인 사람에게 주사한 후 5분 간격으로 혈액을 채취하여 혈청내 각종 지질의 변화를 관찰하였다. 혈청내에서 지질이 감소되는 속도를 계산하기 위하여 혈청중 중성지방의 fractional removal rate(K)와 반감시간(t/2)를 intravenous fat tolerance test(IVFTT)를 사용하여 계산하였다. 측정한 각종 항목에서 두 시판 지방질 사이에 통계적 차이를 볼수 없었으며 어떤 부작용도 관찰되지 않았다. 또한 두 제품 모두 혈액중의 지질감소, 속도가 유사하였다.

• Biomolecules & Therapeutics
• /
• 제6권4호
• /
• pp.358-363
• /
• 1998

Intravenous lipid emulsion is used extensively as a major component of parenteral nutrition for patients in the surgical intensive care unit. Abnormal cardiovascular function related to lipid infusion has been reported although conflicting results exist. In the present study, we investigated the effects of intravenous emulsions of long-chain triglyceride (LCT) and medium-chain triglyceride (MCT) on myocardial ischemia/ reperfusion injury and on platelet aggregation in rat. There was no difference between LCT and MCT considering the effects on left ventricular developed pressure (LVDP) and coronary flow rate (CFR) before and after ischemia/reperfusion in isolated rat heart. On the other hand, a difference was found between LCT and MCT with regard to their effects on heart rate (HR) and end diastolic pressure (EDP) after ischemia/reperfusion. After ischemia/reperfusion, HR was significantly (P<0.05) reduced and EDP significantly (P<0.05) inc.eased by LCT (18$\pm$2.0% and 42.8$\pm$8.9%, respectively), but not by MCT Ex vivo platelet aggregation induced by collagen was reduced by LCT infusion, but not by MCT These findings suggest that MCT may have slightly more favorable effect than LCT on the myocardial function after ischemia/reperfusion in rat.